JOSITA M DEHAAN-KICMAL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006407

License Status

NOT RENEWED

Business

First Name

JOSITA M

Last Name

DEHAAN-KICMAL

Business Name

JOSITA M DEHAAN-KICMAL

Original Issue Date

04/05/1991

Effective Date

09/27/2010

Expiration Date

09/30/2012

City

SCHERERVILLE

State

Zip

46375

County

INDIANA

Ever Disciplined

LastModifiedDate

01/16/2013